National Provider Identifier
River Louise Brundage, M.S.ED., CCC-SLP
River Louise Brundage, M.S.ED., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Bath, NY and a listed phone number of (607) 622-6092.
Profile Overview
- NPI
- 1760635007
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 30, 2008
- Last Updated
- December 21, 2015
Practice Location
- 9 Maple St
- Bath, NY 14810-1235
Phone: (607) 622-6092
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1760635007
- Entity Type
- Individual
- Last Name
- Brundage
- First Name
- River
- Middle Name
- Louise
- Name Prefix
- MS.
- Credential
- M.S.ED., CCC-SLP
- Provider Other Last Name
- Townsend
- Provider Other First Name
- Ellen
- Provider Other Middle Name
- Louise
- Provider Other Credential Text
- M.S.ED., CCC-SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 9 Maple St
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-1235
- Mailing Country
- US
- Mailing Phone
- (607) 622-6092
- Practice Street Address
- 9 Maple St
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-1235
- Practice Country
- US
- Practice Phone
- (607) 622-6092
- Enumeration Date
- October 30, 2008
- Last Updated
- December 21, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)